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Individual

DR. LEE ANDREW EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1011 W 31ST ST STE 512, AUSTIN, TX 78705-2026
(512) 694-1322
Mailing address
1011 W 31ST ST STE 512, AUSTIN, TX 78705-2026
(512) 694-1322

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24954
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014JB
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
04/11/2007
Last updated
07/08/2007
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